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CARDIA Year 02 (Exam 2) Data and
Documentation
Form 2: Blood Pressure
Data: BAF02.SD2
Form: F2 - Blood Pressure Questionnaire
(D10500.PDF)
New Documentation: BAF02.PDF
Original Documentation:
B2F02 - Blood Pressure (D10295.PDF)
Form 3: Sociodemographics
Data: BAF03.SD2
Form: F3 - Sociodemographic Questionnaire
(D10051.PDF)
New Documentation: BAF03.PDF
Original Documentation: B2F03 - Sociodemographic
Questionnaire (D10296.PDF)
Form 4: Life Events Questionnaire
Data: BAF04.SD2
Form: F4 - Life Events Questionnaire
(D10052.PDF)
New Documentation: BAF04.PDF
Original Documentation:
B2F04 - Life Events Questionnaire
(D10297.PDF)
Form 5: Phlebotomy
Data: BAF05.SD2
Form: F5 - Phlebotomy Form (D10053.PDF)
New Documentation: BAF05.PDF
Original Documentation:
B2F05 - Phlebotomy (D10298.PDF)
Form 7: Alcohol Use Questionnaire
Data: BAF07.SD2
Form: F7 - Alcohol Use Questionnaire
(D10054.PDF)
New Documentation: BAF07.PDF
Original Documentation:
B2F07 - Alcohol Use Questionnaire
(D10299.PDF)
Forms 8, 8F, 8M: Medical History
Data: BAF08.SD2
Forms:
F8F - Medical History/Weight Questionnaire:
Female (D10056.PDF),
F8M - Medical History/Weight Questionnaire:
Male (D10055.PDF)
New Documentation: BAF08.PDF
Original Documentation:
B2F08 - Medical History and Weight
History Questionnaire (D10300.PDF)
Form 9CHL: Follow
Up Questions for High Cholesterol
Data: BAF09CHL.SD2
Form: F9-CHOL - Follow-up Questions
for High Cholesterol (D10058.PDF)
New Documentation: BAF09CHL.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9DIB: Follow Up Questions for Diabetes
Data: BAF09DIB.SD2
Form: F9-DIAB - Follow-up Questions
for Diabetes (D10060.PDF)
New Documentation: BAF09DIB.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9GAL: Follow Up Questions for Gallstones
or Gall Bladder Disease
Data: BAF09GAL.SD2
Form: 9-GALL - Follow-up Questions
for Gallstones or Gall Bladder Disease (D10067.PDF)
New Documentation: BAF09GAL.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9HBP: Follow Up Questions for Hypertension
Data: BAF09HBP.SD2
Form: F9-HBP - Follow-up Questions
for Hypertension (D10057.PDF)
New Documentation: BAF09HBP.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9HRT: Follow Up Questions for Heart Problems
Data: BAF09HRT.SD2
Form: F9-HEART - Follow-up Questions
for Heart Problems (D10059.PDF)
New Documentation: BAF09HRT.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9KID: Follow Up Questions for Kidney Problems
Data: BAF09KID.SD2
Form: F9-KIDNEY - Follow-up Questions
for Kidney Problems (D10061.PDF)
New Documentation: BAF09KID.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9MAS: Follow Up Questions for Asthma or
Other Breathing Problems Medications
Data: BAF09MAS.SD2
Form: F9-MED-ASTH - Follow-up Questions
for Medications for Asthma or Other Breathing Problems (D10077.PDF)
New Documentation: BAF09MAS.PDF
Original Documentation: YR2 - Medication
Follow-up Questionnaires (D10302.PDF)
Form 9MBC: Follow Up Questions for Birth Control Pills
Data: BAF09MBC.SD2
Form: F9-MED-BCP - Follow-up Questions
for Birth Control Pills (D10079.PDF)
New Documentation: BAF09MBC.PDF
Original Documentation:
YR2 - Medication Follow-up Questionnaires
(D10302.PDF)
Form 9MHB: Follow Up Questions for Antihypertensive
Medications
Data: BAF09MHB.SD2
Form: F9-MED-HBP - Follow-up Questions
for Antihypertensive Medications (D10074.PDF)
New Documentation: BAF09MHB.PDF
Original Documentation:
YR2 - Medication Follow-up Questionnaires
(D10302.PDF)
Form 9MHM: Follow Up Questions for Hormones Other Than Birth Control
Pills
Data: BAF09MHM.SD2
Form: F9-MED-HORM - Follow-up Questions
for Hormones Other than Birth Control Pills (D10076.PDF)
New Documentation: BAF09MHM.PDF
Original Documentation:
YR2 - Medication Follow-up Questionnaires
(D10302.PDF)
Form 9MHT: Follow Up Questions for Heart Medications
Data: BAF09MHT.SD2
Form: F9-MED-HEART - Follow-up Questions
for Heart Medications (D10075.PDF)
New Documentation: BAF09MHT.PDF
Original Documentation:
YR2 - Medication Follow-up Questionnaires
(D10302.PDF)
Form
9MOT: Follow Up Questions for Other Prescription Medications
Data: BAF09MOT.SD2
Form: F9-MED-OTHER - Follow-up Questions
for Other Prescription Medications (D10078.PDF)
New Documentation: BAF09MOT.PDF
Original Documentation: YR2 - Medication
Follow-up Questionnaires (D10302.PDF)
Form 9NER: Follow Up Questions for Nervous,
Emotional or Mental Disorders
Data: BAF09NER.SD2
Form: F9-NER - Follow-up Questions
for Nervous, Emotional, or Mental Disorders (D10066.PDF)
New Documentation: BAF09NER.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9OTH: Follow Up Questions for Other Major Health Problems
Data: BAF09OTH.SD2
Form: F9-MAJOR - Follow-up Questions
for Other Major Health Problems (D10069.PDF)
New Documentation: BAF09OTH.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9PER: Current or Last Menstrual Period
Questions
Data: BAF09PER.SD2
Form: F9-PERIOD - Date of Current
or Last Menstrual Period (D10073.PDF)
New Documentation: BAF09PER.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9PRG: Pregnancy Questionnaire
Data: BAF9PRG1.SD2, BAF9PRG2.SD2, BAF9PRG3.SD2
Form: F9-PREG - Pregnancy Questionnaire
(D10072.PDF)
New Documentation: BAF9PRG1.PDF,
BAF9PRG2.PDF, BAF9PRG3.PDF
Original Documentation: YR2 - Medical
History Follow-up Questionnaires (D10301.PDF)
Form 9SIC: Follow Up Questions for Sickle Cell
Trait
Data: BAF09SIC.SD2
Form : F9-SICKLE - Follow-up Questions
for Sickler Cell Trait (D10068.PDF)
New Documentation: BAF09SIC.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9THY: Follow Up Questions for Thyroid
Problems
Data: BAF09THY.SD2
Form: F9-THYR - Follow-up Questions
for Thyroid Problems (D10062.PDF)
New Documentation: BAF09THY.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9TOB: Follow Up Questions for Tobacco
Use
Data: BAF09TOB.SD2, BAF09BRD.SD2
Form: F9-TOB - Follow-up Questions
for Tobacco Use (D10080.PDF)
New Documentation: BAF09TOB.PDF,
BAF09BRD.PDF
Original Documentation:
YR2 - Tobacco Follow-up Questionnaire
(D10303.PDF)
Form 9TUM: Follow Up Questions for Cancer or
Tumor
Data: BAF09TUM.SD2
Form: F9-TUMOR - Follow-up Questions
for Cancer or Tumor (D10065.PDF)
New Documentation: BAF09TUM.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 9ULC: Follow Up Questions for Stomach
or Duodenal Ulcer
Data: BAF09ULC.SD2
Form: F9-ULCER - Follow-up Questions
for Stomach or Duodenal Ulcer (D10063.PDF)
New Documentation: BAF09ULC.PDF
Original Documentation:
YR2 - Medical History Follow-up
Questionnaires (D10301.PDF)
Form 10: Tobacco Use Questionnaire
Data: BAF10.SD2
Form: F10 - Tobacco Use Questionnaire
(D10081.PDF)
New Documentation: BAF10.PDF
Original Documentation:
B2F10 - Tobacco Questionnaire (D10343.PDF)
Form 12: History of Lung Problems Questionnaire
and Pulmonary Function Results
Data: BAF12.SD2, BAF12PF.SD2
Form: F12 - History of Lung Problems
Questionnaire (D10082.PDF)
New Documentation:
BAF12.PDF,
BAF12PF.PDF
Original Documentation:
B2F12 - History of Lung Problems
Questionnaire (D10304.PDF),
B2F12PF - Pulmonary Function Testing
Data (D10350.PDF)
Form 14: Social Support Questionnaire
Data: BAF14.SD2
Form: F14 - Social Support Questionnaire
(D10083.PDF)
New Documentation: BAF14.PDF
Original Documentation:
B2F14 - Social Support Questionnaire
(D10344.PDF)
Form 16: Framingham Type A/B Questionnaire
Data: BAF16.SD2
Form: F16 - Framingham Type A/B Questionnaire
(D10084.PDF)
New Documentation: BAF16.PDF
Original Documentation:
B2F16 - Framingham Questionnaire
(D10305.PDF)
Form 18: Physical Activity Questionnaire
Data: BAF18.SD2
Form: F18 - Physical Activity Questionnaire
(D10086.PDF)
New Documentation: BAF18.PDF
Original Documentation:
B2F18 - Physical Activity Questionnaire
(D10306.PDF)
Form 20: Anthropometry
Data: BAF20.SD2
Form: F20 - Anthropometry Form (D10087.PDF)
New Documentation: BAF20.PDF
Original Documentation:
B2F20 - Anthropometry (D10307.PDF)
Form 28: Blood Pressure Reactivity Form
Data: BAF28.SD2
Form: F28 - Blood Pressure Activity
Form (D10088.PDF)
New Documentation: BAF28.PDF
Original Documentation:
B2F28 - Blood Pressure Reactivity
(D10308.PDF)
Form 29: Karasek Job Strain Questionnaire
Data: BAF29.SD2
Form: F29 - Karasek Questionnaire
(D10089.PDF)
New Documentation: BAF29.PDF
Original Documentation:
B2F29 - Karasek Questionnaire (D10346.PDF)
Form 30: Toenail Collection Form
Data: BAF30.SD2
Form: F30 - Toenail Collection Form
(D10090.PDF)
New Documentation: BAF30.PDF
Original Documentation:
B2F30 - Toenail Questionnaire (D10309.PDF)
Form 31: Interim Hospitalizations, Serious Illnesses
and Injuries Questionnaire
Data: BAF31.SD2
Form: F31 - Interim Hospitalizations,
Serious Illnesses and Injuries Questionnaire (D10091.PDF)
New Documentation: BAF31.PDF
Original Documentation:
B2F31 - Interim Hospitalizations,
Serious Illnesses and Injuries Questionnaire (D10347.PDF)
Form 32: Safety/Accident Questionnaire
Data: BAF32.SD2
Form: F32 - Safety/Accident Questionnaire
(D10092.PDF)
New Documentation: BAF32.PDF
Original Documentation:
B2F32 - Safety/Accident Questionnaire
(D10348.PDF)
Form 34: Modified Block Food Frequency Questionnaire
Data: BAF34.SD2
Form: F34 - Modified Block Food Frequency
Questionnaire (D10093.PDF)
New Documentation: BAF34.PDF
Original Documentation:
B2F34 - Modified Block Food Frequency
Questionnaire (D10349.PDF)
Reference File
Data: BAREF.SD2
Form: None
New Documentation: BAREF.PDF
Original Documentation:
B2REF - Demographic Data (D10294.PDF)
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